Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maryjane Quenneville

Individual provider Clinical Social Worker · NPI 1003587643

Maryjane Quenneville is a Clinical Social Worker in Syracuse, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

124 Northern Lights Dr Ste 20
Syracuse, NY 13212-4119
Phone: (315) 326-1008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9430 Birch Tree Rd, Brewerton, NY 13029-9407 — (315) 729-3701

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 085429 (NY)

Record details

NPI number1003587643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2021
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

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